QLiS – development of a schizophrenia-specific quality-of-life scale

<p>Abstract</p> <p>Background</p> <p>The aim of the project was to develop an instrument for the assessment of subjective quality of life specific to schizophrenic persons on the basis of patients’ views on their own life and on sound psychometric principles.</p>...

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Main Authors: Franz Michael, Fritz Michael, Gallhofer Bernd, Meyer Thorsten
Format: Article
Language:English
Published: BMC 2012-06-01
Series:Health and Quality of Life Outcomes
Subjects:
Online Access:http://www.hqlo.com/content/10/1/61
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author Franz Michael
Fritz Michael
Gallhofer Bernd
Meyer Thorsten
author_facet Franz Michael
Fritz Michael
Gallhofer Bernd
Meyer Thorsten
author_sort Franz Michael
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The aim of the project was to develop an instrument for the assessment of subjective quality of life specific to schizophrenic persons on the basis of patients’ views on their own life and on sound psychometric principles.</p> <p>Methods</p> <p>The project applied a six-step multiphase development process with six distinct studies. (1) The elicitation of schizophrenic persons’ views on their quality of life was based on open-ended interviews with interviewees from different settings (acute ward inpatients, long-term care patients, community care patients; n = 268). (2) A cross-sectional study with schizophrenic and healthy persons was conducted to quantify the relative importance of the various aspect of quality of life that emerged from the qualitative study (n = 143). (3) We conducted an empirical comparison of response formats with schizophrenic persons (n = 32). (4) A scale construction- and reliability-testing study was performed (n = 203) as well as (5) a test-retest reliability study (n = 49). (6) The final questionnaire (QLiS, quality of life in schizophrenia) was tested in an additional study on convergent and discriminant validity (n = 135).</p> <p>Results</p> <p>The QLiS comprises 52 items (plus 2 optional items related to work) in 12 subscales: social contacts, appreciation by others, relationship to family, appraisal of pharmacotherapy, appraisal of psychopathological symptoms, cognitive functioning, abilities to manage daily living, appraisal of accommodation/housing, financial situation, leading a ’normal‘ life, confidence, general life-satisfaction. An item response format with four response categories was preferred by the schizophrenic persons. The mean values of the subscales clustered around the theoretical mean of the subscales and only minimal ceiling effects were found. The reliability (test-retest-reliability and internal consistency) was with one exception > .70 for all subscales.</p> <p>Conclusion</p> <p>Taking the low numbers of items per subscale into account, the QLiS can be regarded as an accurate assessment instrument of subjective quality of life in schizophrenia with good content validity.</p>
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spelling doaj.art-10337a08e6d54066ac3b8036da6743d52022-12-22T02:14:58ZengBMCHealth and Quality of Life Outcomes1477-75252012-06-011016110.1186/1477-7525-10-61QLiS – development of a schizophrenia-specific quality-of-life scaleFranz MichaelFritz MichaelGallhofer BerndMeyer Thorsten<p>Abstract</p> <p>Background</p> <p>The aim of the project was to develop an instrument for the assessment of subjective quality of life specific to schizophrenic persons on the basis of patients’ views on their own life and on sound psychometric principles.</p> <p>Methods</p> <p>The project applied a six-step multiphase development process with six distinct studies. (1) The elicitation of schizophrenic persons’ views on their quality of life was based on open-ended interviews with interviewees from different settings (acute ward inpatients, long-term care patients, community care patients; n = 268). (2) A cross-sectional study with schizophrenic and healthy persons was conducted to quantify the relative importance of the various aspect of quality of life that emerged from the qualitative study (n = 143). (3) We conducted an empirical comparison of response formats with schizophrenic persons (n = 32). (4) A scale construction- and reliability-testing study was performed (n = 203) as well as (5) a test-retest reliability study (n = 49). (6) The final questionnaire (QLiS, quality of life in schizophrenia) was tested in an additional study on convergent and discriminant validity (n = 135).</p> <p>Results</p> <p>The QLiS comprises 52 items (plus 2 optional items related to work) in 12 subscales: social contacts, appreciation by others, relationship to family, appraisal of pharmacotherapy, appraisal of psychopathological symptoms, cognitive functioning, abilities to manage daily living, appraisal of accommodation/housing, financial situation, leading a ’normal‘ life, confidence, general life-satisfaction. An item response format with four response categories was preferred by the schizophrenic persons. The mean values of the subscales clustered around the theoretical mean of the subscales and only minimal ceiling effects were found. The reliability (test-retest-reliability and internal consistency) was with one exception > .70 for all subscales.</p> <p>Conclusion</p> <p>Taking the low numbers of items per subscale into account, the QLiS can be regarded as an accurate assessment instrument of subjective quality of life in schizophrenia with good content validity.</p>http://www.hqlo.com/content/10/1/61Quality of lifePersonal satisfactionSchizophreniaQuestionnairesOutcome assessment
spellingShingle Franz Michael
Fritz Michael
Gallhofer Bernd
Meyer Thorsten
QLiS – development of a schizophrenia-specific quality-of-life scale
Health and Quality of Life Outcomes
Quality of life
Personal satisfaction
Schizophrenia
Questionnaires
Outcome assessment
title QLiS – development of a schizophrenia-specific quality-of-life scale
title_full QLiS – development of a schizophrenia-specific quality-of-life scale
title_fullStr QLiS – development of a schizophrenia-specific quality-of-life scale
title_full_unstemmed QLiS – development of a schizophrenia-specific quality-of-life scale
title_short QLiS – development of a schizophrenia-specific quality-of-life scale
title_sort qlis development of a schizophrenia specific quality of life scale
topic Quality of life
Personal satisfaction
Schizophrenia
Questionnaires
Outcome assessment
url http://www.hqlo.com/content/10/1/61
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